![]() THOMAS H. WALL Sanitary Officer, 51st Malaria Control Unit, Medical Branch, Chabua Region, Misamari, Assam, India China-Burma-India Theater of World War II Spring 1944 to November 1945 Written by Ann MacKay, his daughter, for his 92nd birthday in 2008 and updated in 2022.
Biography
Training Stateside
In the field of military history, rarely do military health care providers receive much attention.
World War II, however, was the first war with many modern health care practices.
Field blood transfusions and miracle pharmaceuticals were just two of many new innovative medical practices.
His next assignment was at Camp Tyson where he served as the sanitary engineer to the surgeon.
Camp Tyson was the nation's only World War II barrage balloon training center.
The camp trained servicemen to build, fly, and repair barrage balloons.
They were heliumor
In March 1942, officers and enlisted men arrived in detachments of five thousand or six thousand men. By the end of the war, Camp Tyson's occupancy ranged from twenty-thousand to twenty-five thousand soldiers. Wall served there from the spring of 1942 to the late summer of 1943. As the world entered the nuclear age with the dropping of the atomic bomb, barrage balloons became an anachronism. Although originally intended as a permanent military post, Camp Tyson closed after the war. Wall’s first daughter, Heather, was born in Duluth, Minnesota. His wife, Ann, joined him in Paris, TN with baby Heather, then 6 weeks old. It entailed a long train trip from Duluth carrying a new baby and all the baby necessities. A passenger grabbed the wrong suitcase at the final destination. Ann was surprised with a suitcase full of business clothes. We can only guess what the businessman felt when he opened a suitcase with baby clothes and woman’s clothing. The young Wall family moved every two months.
Housing was at a premium so lodging was often substandard with snow blowing under the door in some cases. Heather’s bed was a dresser drawer in some locations. Ann remembers the night the officer of the day babysat so they could attend a Gala for the officers. Paris was a segregated area in 1942 which must have been an experience for someone from Minnesota. Wall received a month training in setting up a malaria control unit in a Louisiana swamp where the bugs, heat and humidity were good training for his overseas tour in India and Burma. His shipping out orders came through that fall and he started the long journey to India first by troop train through Atlanta to Hampton Roads, VA. The train cars were so old that there were gas lamps. The men rode through the countryside with the shades down so no one would see that the train carried soldiers.
The Liberty ships were cargo ships built in the United States during World War II. They were British in concept but adapted by the USA. They were cheap and quick to build, and came to symbolize U.S. wartime industrial output. Based on vessels ordered by Britain to replace ships torpedoed by German U-boats, they were purchased for the U.S. fleet and for a Lend-Lease program to the Britain. Eighteen American shipyards built 2,751 Liberties between 1941 and 1945, easily the largest number of ships produced to a single design. As a sidenote, the S.S. John W. Brown, is moored at Pier 13 in Baltimore. It is one of two surviving fully operational Liberty ships preserved in the United States. It continues to have history ruises and tours. I have been on one of the history cruises on the Chesapeake Bay. It was not a straight shot to the destination. After passing the Rock of Gibraltar, the ship urned around and went back out to sea as they were warned that German U-boats were laying in wait along the coast line. They finally made it to Oran and as they came into port, they could see sunken ships where they anchored.
The U.S. government maintained the secrecy around the sinking of the Rohna until the mid 1960s. In the early 1990s, the survivors and the victim's families began to obtain the details under the Freedom of Information Act. On May 30, 1996, a memorial to the Rohna was dedicated at the Fort Mitchell National Cemetery in Seale, Ala. A documentary, Rohna Classified written and directed by Jack Ballo is in post production in 2022.
BI ships were sunk by the dozen in the Second World War. The terrors of dive-bombing and guided missiles added to the threat of the conventional U-boat. In all, 51 vessels grossing 351,756 tons were lost in the struggle — almost half of BI fleet was wiped out. But this ship did make it to India. Wall was served in style in the formal dining room with multiple forks and knives at the table setting. This was in sharp contrast to the enlisted men below who complained of bugs in the food. Although the officers had tea in the afternoon and had nice cabins, they were ordered to wear life jackets and full uniforms at all times. The ship left January 17, 1944 sailing through the Suez Canal which was only 300 feet wide at some points. They could see the camels in the desert. He was on police duty carrying a side arm to keep small boats away from the ship. A sailing boat did sink after getting caught in the wake of the ship.
The transportation system leading from Calcutta into Assam, called the Assam Line of Communications (LOC), was described by an Army logistician in the War Department as
“The most fascinating and complex problem we have in the world.”
It consisted of rail, water, rail-water, water-rail, and to a limited extent, rail-highway routes.
The Bengal and Assam Railroad was the main carrier on the LOC.
Supplies were shipped from Calcutta over a broad-gauge line 200 and 275 miles respectively to Santahar and Parbatipur.
They were the principle points for transfer from broad-gauge to meter gauge railroads.
The rail wagons then moved to the Brahmaputra River where they were ferried across, and then proceeded to Tinsukia, whence they traveled over the short meter-gauge Dibru-Sadiya Railroad to Ledo, 576 milesfrom Parbatipur.
Of the 12.3 million Americans under arms at the height of mobilization, only about 250,000 were assigned to CBI and comparatively few Americans were in combat in China, Burma, or India. CBI was important however to the overall Allied war effort because of early plans to base air and naval forces in China for an eventual assault on Japan. Allied forces, mostly British, Chinese, and Indian, also engaged large numbers of Japanese troops that might have otherwise been used elsewhere. America's major contribution in CBI was getting war materials and the manpower to where it was needed. Army Air Forces flew supplies to China while Army Engineers built the Ledo Road to open up a land supply route. Except for stories of “Vinegar Joe” Stilwell, Merrill's Marauder's, and Brig. General Robert L. Scott, author of God is My Co-pilot, CBI did not often make headlines in the newspapers back home. [Scott died in Warner Robins, GA where I lived at the time February 2006 at age 97.] The early importance of CBI quickly faded as the war progressed. Thus the Forgotten Theater label remains to this day. The goal of the China-Burma-India theater was to transport supplies to the forces of the Chinese Central Government.
To accomplish this mission, it was necessary to augment existing air transport facilities and to build a road from India to the Burma Road leading to China on ground which it hoped to wrest from the Japanese.
These major activities had to be carried on more or less simultaneously.
In addition, Army Air Forces supported Chinese, British, and American operations.
Other means were still necessary, however, to move the enormous quantities of gasoline, expendable supplies, vehicles, and other heavy equipment. A supply route started in December 1942 to extend from the Ledo area of Assam, India, across the Patkai Range through the Hukawng and Irrawaddy Valleys to the old Burma Road, subsequently renamed the Stilwell Road. This project involved construction through virgin jungles crossed only by poor foot trails or pack trails and peopled by indigenous tribes. During 1943 and 1944, when construction of the road, pipelines, and telephone lines was continuing as closely behind combat operations as supply and climatic conditions would allow, great quantities of material were moved inland from the ports for construction purposes and to build up a backlog of supplies for shipment over the road on its completion. The road was finished and opened for the first China convoy on 1 February 1945 and was officially closed on 31 October 1945.
As the season progresses, the humidity becomes higher and the actual temperature lower, although the perceptible temperature increases. After the rains, the temperature decreases and the cool season has arrived. This continues until late in February. Early in March, the hot season begins with its high daytime temperatures but relatively cool nights. This condition prevails until the monsoon breaks. To give you an idea of the amount of rain that falls, a precipitation chart labeled 1943 indicated 108 inches of rain in June fall in the area Wall was stationed. My father hated to be hot for the rest of his life.
The Hump
Flying over the Hump was a risky endeavor. The air route led first over the Himalayan foothills and finally to the mountains, between north Burma and west China, where violent turbulence and terrible weather was standard. Transport planes flew around the clock from any of thirteen bases in northeastern India, landing about 800 kilometers away at one of six Chinese airfields. Some crews flew as many as three round trips every day. Due to the isolated region, parts and supplies to keep the planes flying were in short supply.
The seriousness of the problem is summed up by Gen. Douglas MacArthur's statement to Paul F. Russell, MD, M.P.H., Sc.D. in May 1943 “...this will be a long war if for every division I have facing the enemy I must count on a second division in hospital with malaria and a third division convalescing from this debilitating disease!”
At first such supplies as were available to the British were shared with the U.S. forces, and, in addition, permission was given to procure mosquito netting and other supplies locally, even though all supplies were short. Thousands of laborers were made available for drainage projects and for the construction of mosquito proof quarters. Many troops did not have sufficient instruction in malaria prevention, and malaria discipline was lax. Intimate contact with the highly infected reservoir population while working in uncontrolled areas, where most personal protective measures were all but impossible, helped to increase infection. Education was stressed, and malaria discipline improved as soon as the importance of the problem was recognized. U.S. Forces from mid-1943 onward waged a fast and successful war through some of the most malarious areas on earth. It is ironic that in 2011 malaria remains a public health problem in more than 100 counties and causes over one million deaths each year.
At the time Wall arrives on the scene in India, there were only 10 Malaria Control Units in the entire CBI theater. Seven more were scheduled and due to be activated for the theater. Wall was part of the wave of control units that came in 1944. As supplies and personnel became available, areas were brought under control and rates dropped. After the use of DDT was instituted, still further reductions were noted, and fnally, with employment of general Atabrine suppressive treatment in the more highly endemic areas, rates showed a further decrease. When all these various means were in operation, the rates dropped to a small fraction of what they had been in the early days of the China-Burma-India theater. Wall reports that when he arrived, the malaria infection rate was 1500/1000 men per year. That means men were getting reinfected with the disease. The rate dropped to a fraction of that under his watch. A big job was to get the men to protect themselves with head nets, mosquito netting and to use mosquito repellants.
When DDT became available, small amounts of it were dissolved in oil and this acted as a more effective larvicide. Smaller amounts of the DDT solution could be spread effectively over larger areas than could be controlled by simple oil sprays. In the China theater, waste motor oil and tung oil kerosene were mixed and extensively used as a larvicide. DDT dusting powder was widely used to control mosquito breeding in rice fields. In addition to the ground larviciding, the air-spray program was established. It was found that this method was useful in large, flat, inaccessible swamp areas and also in quickly controlling the mosquitoes in newly captured areas. Effectiveness was definitely limited by rough mountainous terrain, which kept planes high, by dense jungle canopy, and by monsoon rains which frequently prevented routine operations or washed away the DDT immediately after spraying. Clearing was done extensively in connection with drainage. In many cases this was the only method of revealing detailed topography so that drainage could be established. In addition, continued clearance of secondary growth in established drainage canals and other waterways was necessary so that larviciding and inspection crews could have access to mosquito breeding areas. For all these operations, simple hand tools were all that were available in the majority of cases; in some sections, however, power saws were used effectively in clearing logjams and a right-of-way. Drainage - Adequate drainage wherever possible and larviciding of other areas constituted the main anti-larval operations. Literally hundreds of miles of drainage canals were dug and maintained by the malaria control detachments. In all but a very few areas, this work was done by laborers under the supervision of the control detachments or other personnel working for them. In some of the northern Burma areas, dynamite was used to establish drainage. This was an effective method and required much less manpower in an area where manpower was limited. Of course, labor was needed to maintain this drainage once it was established. No machines were available for ditching within the theater.
When quantities of DDT became available, an intensive residual spraying program was started. The details of application varied within the various sections of the theater. Village buildings within the supposed mosquito flight range were sprayed by the malaria control detachments, while in some areas they also sprayed troop quarters and other buildings. When the spraying of the very numerous local villages constituted a major problem, the spraying of military quarters was left to the organizational anti-malaria details. These men were trained whenever possible by members of the malaria control detachments. Wall and his men rigged up their own DDT spray using a solid DDT powder which was dissolved in an oil drum with kerosene and GI soap to make an emulsion. His unit never receivedthe mixed emulsion, they had to make their own. The spray would kill the larvae. In 2005, Wall wrote a letter to the CDC in response to a letter to the editor regarding malaria control.
Here is what he wrote:
Who knew at that time that DDT would be banned around the world for agricultural use. ![]()
Mosquito proofing in the China theater was never adequate. The malaria control units distributed the mosquito proofing supplies, supervised installation, and checked maintenance. Without this skilled assistance in the India-Burma theater, mosquito proofing would have been much less effective.
The standard materials were burlap (hessian cloth) for walls and ceilings and mosquito netting for doors and windows. The materials deteriorated rather rapidly in the jungle but were usually effective as long as the organization was stationary. Both the American pyramidal and the British EPIP (European Privates, Indian Pattern) tents provided comfortable living quarters when placed over a wooden framework, elevated to give 6-foot sidewalls, and then mosquito proofed. Nylon and wire screening was used in relatively permanent buildings, such as hospitals and mess halls. Basha-type buildings (grass and bamboo construction) were often mosquito proofed by native contractors under the supervision of malaria control personnel. This method was very effective, and as the men became trained in its use, efficiency was increased and waste decreased. Maintenance of mosquito proofing was the responsibility of the individual organization but was checked by malaria control personnel. In the areas where frequent movement of the organization occurred, there was considerable but unavoidable wastage. The Malaria Control Unit headed up by Wall used native crews for the mosquito proofing. Bed nets and jungle hammocks were used throughout the theater. Early models of bed nets were of poor quality; they restricted air movement, and became rapidly mildewed. They were hot and smelly. Later models were made of a tightly woven netting and were less objectionable. Little trouble was experienced in enforcing the bed net regulations. Jungle hammocks were used in forward areas until permanent quarters could be erected.
Repellents were universally objectionable to the troops, as they added to the general discomfort. They often smarted when applied to wind-or sunburned skin, they were sticky and oily, they made the user feel hot, they soiled clothes, and dissolved plastic. They were not used by the average soldier except under pressure from his commanding officer or when there were overwhelming numbers of mosquitoes. Various methods of using the repellent were tried with but fair success. In some sections of the theater, it was impossible to go to GI movies unless one submitted to a liberal application of repellent. While all individuals had repellent available and most believed in its effectiveness, its use was not as general as it should have been.
Misamari Air Base opened in November 1943 as one of the 13 bases for flying over the Hump into China. His unit was split up with one half of the men going to Tezpur about 20 miles away. Tezpur was founded by the British colonial administration in 1835 as the headquarters of Darrang district. Tezpur also has a very old connection with the Tea Gardens and Britishers. During British rule it was a leading point for loading tea for carrying them in steamers. The Tezpur air base was completed in November 1943. The Tezpur air route was labeled Easy while the Misamari route was labeled Fox. As the air lift to China grew, the number of men increased with over 10,851 stationed in the area in December 1943. This made for a lot of malaria education and control measures. Wall headed up the first Malaria Control Unit at Misamari and Tezpur.
Copies are available online. The pages have been recreated from original 1945 issues of the newspaper, the original stories, the original pictures, a unique history of ICD. Here is an article from the March 22, 1945 issue of Hump Express:
Malaria control was serious stuff with directives coming from General McArthur himself about preventive actions to take. The wearing of shorts, and shirts without sleeves is prohibited says McArthur yet many photos in Assam show bare chested men in shorts. Maybe the following explains the degree of heat they encountered. Even the best of maintenance men worked under terrible handicaps.
Their work had to be done largely at night; Alexander reported: "Except on rainy days maintenance work cannot be accomplished because shade temperatures of from 100° to 130° Fahrenheit render all metal exposed to the sun so hot that it cannot be touched by the human hand without causing second degree burns."
He never liked to be hot after his experience in India.
Although the unit was attached to the medical HQ in another area, Wall was the boss of the unit and worked independently. The offices and barracks (or bashas) were of teak frame, infilled with straw and plaster of some sort. They ate their meals in a large mess hall or in the base officer’s club. Wall briefly served in upper Burma when he replaced a medical officer for a time. The Chinese were being trained and they were in poor physical shape. He reports that a policeman was killed by a leopard at the rail crossing in Tezpur. Wall did not escape illness. About six months into his tour he was hospitalized for a bout of bacillary dysentery characterized by bloody stools which can cause death from dehydration. He was airlifted to the hospital in a DC-3 which had an open door the entire two hour trip. Apparently, it was broken and would not close. After a week in the hospital for fluid replacement and the new sulfa drugs, he returned to duty.
A rug from India remains in the family. Wall recounts an R&R visit to a former British Base Camp in Darjeeling. Darjeeling was acquired by the British from the Raja of Sikkim as a gift around a hundred and fifty years ago. The British developed it as a rest and recreational center for their troops. Today the town retains many of the legacies of the British Government. He bought a wool and silk woven rug from a vendor. He thinks it may be 300 years old.
The Air Transport Command's crowded airways to China were the proving ground, if not the birthplace, of mass strategic airlift. Here the AAF demonstrated conclusively that a vast quantity of cargo could be delivered by air, even under the most unfavorable circumstances, if only the men who controlled the aircraft, the terminals, and the needed materiel were willing to pay the price in money and in men. In military and civilian circles alike men were forced to modify their thinking regarding the potential of airlift. The India-China experience made it possible to conceive the Berlin airlift of 1948–49 and to operate it successfully.
He got on a ship at Karachi going through the Suez Canal, across the Mediterranean Sea and on to New York. Then he boarded a train with a stop in Fort McCoy, Wisconsin for his official mustering out. He finally arrived in St. Paul, Minnesota to the waiting arms of his wife, Ann. She took the bus from Duluth where she stayed with her parents throughout his deployment to India. Her brother-on-law, Bud drove her to the train station in St. Paul to meet her husband. He was reunited with his two daughters, Heather, age 3, and Ann, 19 months. He saw Ann for the very first time on his return. She still has the stuffed lamb made of wool that he brought her.
Criteria: The WW II Victory Medal was awarded to all military personnel for service between 7 December 1941 and 31 December 1946. The medal's front depicts Nike standing victorious, holding a broken sword, representing the broken power of the Axis, with one foot upon the helmet of Mars, the Roman god of war, representing the end of the conflict.
Criteria: The Asiatic-Pacific Campaign Medal was awarded to personnel for service within the Asiatic-Pacific Theater between 7 December 1941 and 2 March 1946 under any of the following conditions: (1) On permanent assignment. (2) In a passenger status or on temporary duty for 30 consecutive days or 60 days not consecutive. (3) In active combat against the enemy and was awarded a combat decoration or furnished a certificate by the commanding general of a corps, higher unit, or independent force that he actually participated in combat.
The American Campaign Medal was a military decoration of the United States armed forces which was first created in 1942 by order of President Franklin D. Roosevelt. Originally issued as the “American Theater Ribbon”, the decoration was intended to recognize those service members who had performed duty in the American Theater of Operations during the Second World War. To be awarded the American Campaign Medal, a service member was required to either perform one year of consecutive duty within the continental borders of the United States, or perform 30 days consecutive/60 non-consecutive days of duty outside the borders of the United States but within the American Theater of Operations. The American Theater was defined as the entirety of the United States to include most of the Atlantic Ocean, a portion of Alaska, and a small portion of the Pacific bordering California and Baja California. The eligibility dates of the American Campaign Medal were from December 7, 1941, to March 2, 1946. Service stars were authorized to any service member who was engaged in actual combat with Axis forces within the American theater. This primarily applied to those members of the military which had engaged in anti-U-Boat patrols in the Atlantic.
Criteria: a. The European-African-Middle Eastern (EAME) Campaign Medal was awarded to personnel for service within the European-African-Middle Eastern Theater between 7 December 1941 and 8 November 1945 under any of the following conditions: (1) On permanent assignment. (2) In a passenger status or on temporary duty for 30 consecutive days or 60 days not consecutive.
Footnote 5 - DDT (from its trivial name, dichlorodiphenyltrichloroethane) is one of the most well known synthetic pesticides. It is a chemical with a long, unique, and controversial history. First synthesized in 1874, DDT's insecticidal properties were not discovered until 1939, and it was used with great success in the second half of World War II to control malaria and typhus among civilians and troops. The Swiss chemist Paul Hermann Müller was awarded the Nobel Prize in Physiology or Medicine in 1948 “for his discovery of the high efficiency of DDT as a contact poison against several arthropods.” After the war, DDT was made available for use as an agricultural insecticide, and soon its production and use skyrocketed. American biologist Rachel Carson published Silent Spring in 1962. The book catalogued the environmental impacts of the indiscriminate spraying of DDT in the U.S. and questioned the logic of releasing large amounts of chemicals into the environment without fully understanding their effects on ecology or human health. The book suggested that DDT and other pesticides may cause cancer and that their agricultural use was a threat to wildlife, particularly birds. Its publication was one of the signature events in the birth of the environmental movement, and resulted in a large public outcry that eventually led to DDT being banned in the U.S. in 1972. DDT was subsequently banned for agricultural use worldwide under the Stockholm Convention, but its limited use in disease vector control continues to this day and remains controversial.
Along with the passage of the Endangered Species Act, the U.S. ban on DDT is cited by scientists as a major factor in the comeback of the bald eagle, the national bird of the United States, from near-extinction in the contiguous U.S.
Appendix A Letter from General MACARTHUR Malaria Control
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